Cardiovascular problems and diabetes are the order of the day. In fact, the relationship between the two is increasingly evident, as has been shown in the recent celebration of the day Cardiovascular Health: Diabetes and its risk factors, which also involved representatives of the National Federation of Association for the Fight Against Kidney Diseases (ALCER) and the Spanish Heart Foundation (FEC).

Among the main complications that diabetes presents are kidney and cardiovascular problems, the latter also being the main cause of death associated with diabetes1. However, lack of awareness and lack of awareness mean that they do not tend to be taken into account. Experts complain about the lack of studies on the association of these factors and the scarcity of policies that contribute effectively to improve the lifestyle of Spaniards to avoid cardiovascular problems.

The president of the FEDE, Ángel Cabrera, contributed impressive data on these aspects such as that diabetes is the first cause of blindness in adults; the first of inclusion in programs of renal replacement therapy (dialysis or transplantation), and the fourth of premature death in women and the eighth in men. That is why Cabrera has insisted in this forum on the need to train and inform patients so they can understand correctly and take control of their own disease.

Relationship between kidneys and heart

In addition to cardiovascular diseases, kidney-related diseases are other complications of diabetes that must be taken into account. Type 2 diabetes is the most frequent cause of renal failure in countries of the western world. In addition, the risk of developing cardiovascular diseases is up to three times higher in patients with renal failure2. In the words of the president of ALCER, Mr. Alejandro Toledo, "we must be aware that the kidneys affect the heart and the heart of the kidneys. These organs are interrelated and, therefore, we must take care of them at the same time ".

In Spain, the Chronic Kidney Disease (CKD) affects 9.9% of the Spanish population, according to a study that the Spanish Society of Nephrology (SEN) conducted between 2005 - 2006. In this report, it was also found that patients who had some degree of kidney disease also suffered from hypertension (24%) and diabetes (9 , 2%), which meant that the risk of progression to a renal replacement therapy (dialysis or transplantation) was much greater. The president of ALCER also added the existence of different studies that have determined that "many patients do not reach this substitution treatment because they die before and mainly due to cardiovascular problems; many of them did not know they had a problem with their kidneys. " Once again, prevention and health education were revealed as fundamental to reduce the mortality of these patients.

Eating a balanced and varied diet, decreasing the consumption of salt and sugars is one of the essential rules to reduce the risk of cardiovascular diseases. To this we must add the practice of at least 30 minutes of daily exercise, control of weight and blood pressure, review of cholesterol and glucose levels, control of stress and anxiety or smoking cessation . In addition, each person should know their cardiovascular risk through a medical visit where they consult all the doubts about the healthy habits of life suitable for each individual.

Source: FEDE, ALCER and FEC

"Cerebral Edema in Diabetic Ketoacidosis" by Michael Agus, MD for OPENPediatrics (November 2019).